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NPI Code Detail

MEDICARE: MS. RACHAEL MASELLI MS-CF, SLP

MEDICARE: MS. RACHAEL MASELLI MS-CF, SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist02418LMD

General Provider Information

NPI Number : 1790455350
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHAEL MASELLI MS-CF, SLP
Provider Business Mailing Address
First Line : 8621 GEORGIA AVE APT 824
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-3871
Country : US
Telephone Number : 724-961-2482
Fax Number :
Provider Business Practice Location Address
First Line : 12520 PROSPERITY DR STE 220
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1660
Country : US
Telephone Number : 301-869-7505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2021
Last Update Date : 09/15/2021

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